21D0212970 CLIA NUMBER - FREKKO PRIMARY CARE, LLC

Laboratory Demographics

  • CLIA Code: 21D0212970
  • Facility Name: FREKKO PRIMARY CARE, LLC
  • Facility Address: 656 QUINCE ORCHARD RD#100
    GAITHERSBURG, MD
    ZIP 20878
  • Facility Phone: 301 948-8780
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TIBOR E. FREKKO MD
  • NPI Number: 1427192715
  • Taxonomy: 207QA0505X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 21D0212970
LAB Type Physician Office
Facility Name FREKKO PRIMARY CARE, LLC
Street 656 QUINCE ORCHARD RD#100
City GAITHERSBURG
State MD
ZIP 20878
Phone 301 948-8780
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/15/2024
Certificate Expiration Date 9/14/2026
Facility Type Physician Office
Lab Director TIBOR E. FREKKO MD

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This page was last updated on: 9/29/2025